Pyogenic vertebral osteomyelitis with subligamentous spread
subacute back pain
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T9 and T10 vertebral body enhancement. Anterior paraspinal enhancing phlegmon with subligamentous spread. Possibly subtle T9/10 disc T2 hyperintensity. No disc enhancement or loss of height.
No cord compression or cord signal abnormality.
T9 and T10 vertebral body osteomyelitis with anterior subligamentous spread. No definite evidence of discitis. T8 and T11 vertebral bodies at risk of involvement.
The findings are very suspicious for tuberculous osteomyelitis.
In this case, however, multiple blood cultures were positive for methicillin resistant staphylococcus aureus (MRSA).